Abstract
Practice and training norms and recommended minimum standards are available internationally for MBSR and MBCT. However, they are not available for delivering non-eight-week mindfulness-based interventions (MBIs) adapted for specific contexts and populations. The delivery of these MBIs raises dilemmas for organisations with responsibility for safe and effective practice that invites us to steer a middle course between prohibition and permissiveness and between idealism and pragmatism. One response to practitioners delivering adapted MBIs is discussed with reference to a new briefer but specifically tailored training for those delivering adapted MBIs in a UK government-funded health service.
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References
Breathworks website (2018). Become a teacher. Retrieved from https://www.breathworks-mindfulness.org.uk/teacher-training#IntroTng. Accessed Sept 2018.
Center for Mindfulness in Medicine, Health Care, and Society, University of Massachusetts Medical School (2014). Mindfulness-based Stress reduction (MBSR): Standards of Practice. Retrieved from https://www.umassmed.edu/contentassets/24cd221488584125835e2eddce7dbb89/mbsr_standards_of_practice_2014.pdf. Accessed Sept 2018.
Crane, R. S. (2017). Implementing mindfulness in the mainstream: making the path by walking it. Mindfulness, 8(3), 585–559. https://doi.org/10.1007/s12671-017-0786-y.
Crane, R. S., Brewer, J., Feldman, C., Kabat-Zinn, J., Santorelli, S., Williams, J. M. G., & Kuyken, W. (2017). What defines mindfulness-based programs ? The warp and the weft. Psychological Medicine, 47(6), 990–999. https://doi.org/10.1017/S0033291716003317.
Crane, R. S., & Hecht, F. M. (2018). Intervention integrity in mindfulness-based research. Mindfulness, 9(5), 1370–1380. https://doi.org/10.1007/s12671-018-0886-3.
Crane, R. S., Kuyken, W., Hastings, R. P., Rothwell, N., & Williams, J. M. G. (2010). Training teachers to deliver mindfulness-based interventions: learning from the UK experience. Mindfulness, 1, 74–86. https://doi.org/10.1007/s12671-010-0010-9.
Crane, R.S., Soulsby, J.G., Kuyken, W., Williams, J.M.G., Eames, C. Bartley, T...... Silverton, S. (2016). The Bangor, Exeter and Oxford Mindfulness-based Interventions teaching Assessment Criteria (MBI-TAC). Retrieved from https://www.bangor.ac.uk/mindfulness/documents/MBI-TACMay2012.pdf. Accessed Sept 2018.
Dobkin, P. L., & Hassed, C. (2016). Mindful medical practitioners: a guide for clinicians and educators. Gewerbestrasse, Switzerland. Springer. https://doi.org/10.1007/978-3-319-31066-4.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: the process and practice of mindful change. New York: Guilford Press.
Huijbers, M. J., Crane, R. S., Kuyken, W., Heijke, L., Van den Hout, I., Donders, A. R. T., & Speckens, A. E. M. (2017). Teacher competence in mindfulness-based cognitive therapy for depression and its relation to treatment outcome. Mindfulness, 8(4), 960–972. https://doi.org/10.1007/s12671-016-0672-z.
International Integrity Network of Mindfulness-Based programs (2017). A framework for the Integrity Network of Mindfulness-Based programs. Retrieved from https://www.pleine-conscience.be/www/wp-content/uploads/2015/06/Ethics-and-Standards-for-MBP-Nov2017.pdf. Accessed Sept 2018.
Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delta.
Linehan, M. (1993). Skills training manual for treating borderline personality disorder: diagnosis and treatment of mental disorders. New York: Guilford press.
Marx, R., Strauss, C., & Williamson, C. (2015). Mindfulness apprenticeship: a new model of NHS-based MBCT teacher-training. Mindfulness, 6(2), 253–263. https://doi.org/10.1007/s12671-013-0254-2.
MISP (Mindfulness in Schools Project) website (2018). Teach .b pre-requisites. Retrieved from https://mindfulnessinschools.org/courses/prerequisites/dotb/. Accessed Sept 2018.
Piet, J., Fjorback, L. & Sanorelli, S. (2016). What is required to teach mindfulness effectively in MBSR and MBCT ? In E. Shonin, W. Gordon & M. Griffiths. (Eds), Mindfulness and Buddhist-derived approaches in mental health and addiction pp. 61–83. Gewerbestrasse, Switzerland: Springer. https://doi.org/10.1007/978-3-319-22255-4_4.
Ruijgrok-Lupton, P. E., Crane, R. S., & Dorjee, D. (2018). Impact of mindfulness-based teacher training on MBSR participant well-being outcomes and course satisfaction. Mindfulness, 9(1), 117–128. https://doi.org/10.1007/s12671-017-0750-x.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). New York: Guilford Press.
Segal, Z.V., Williams, J.M.G., Teasdale, J. D, Crane, R., Dimidjian, S., Ma, H., Woods, S. & Kuyken, W. (2016). Mindfulness-based cognitive therapy training pathway. Retrieved from http://oxfordmindfulness.org/wp-content/uploads/2017/05/OMC-MBCT-International-Training2017.pdf. Accessed Sept 2018.
UK Mindfulness All Party Parliamentary Group (MAPPG) (2015). Mindful Nation UK. Retrieved from http://themindfulnessinitiative.org.uk/images/reports/Mindfulness-APPG-Report_Mindful-Nation-UK_Oct2015.pdf. Accessed Sept 2018.
UK Network of Mindfulness-based Teacher Training Organisations (2015). Good practice guidelines for teaching mindfulness-based courses. Retrieved from http://mindfulnessteachersuk.org.uk/index.html#guidelines. Accessed Sept 2018.
Acknowledgments
The author wishes to thank the other trainers who have contributed in different ways to the delivery of this training: Bridgette O’Neill, Taravajra, Karunavira, Nick Diggins, Kavyashri, Ann Pelling, Clara Strauss, Fergal Jones, Maeve Crowley, Ines Santos, Julia Racster-Szostak, Mike Hales, Helga Dittmar, Helen Leigh-Phippard, Tamsin Bishton, Susan Whiting, Martin Stent, Ruth Kendall, Brenda Davis, Caroline Windley, Lisa Burroughes, Pippa Menzies and Adrian Whittington, as well as all the trainees who participated so whole-heartedly in the training.
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Marx, R. Navigating Dilemmas in Training People to Deliver Non-Eight-Week Adapted Mindfulness-Based Interventions. Mindfulness 10, 1217–1221 (2019). https://doi.org/10.1007/s12671-019-01110-0
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DOI: https://doi.org/10.1007/s12671-019-01110-0